Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda Blake-Johnson

Individual provider Professional Counselor · NPI 1003408808

Brenda Blake-Johnson is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Valle Del Sol Inc, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

8410 W Thomas Rd Ste 116
Phoenix, AZ 85037-3356
Phone: (602) 258-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 — (602) 279-5351

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 23246 (AZ)

Record details

NPI number1003408808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Valle Del Sol Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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